HOME - Clinical cases - Pediatric dentistry
 
 
24 March 2020

Prevalence of dental caries in children and adolescents with type 1 diabetes

Lara Figini


Type 1 diabetes mellitus is a chronic autoimmune disease characterized by destruction of pancreatic beta cells and consequent lack of insulin production. It affects over half a million children worldwide and its prevalence and incidence is increasing, especially in Europa.
Numerous epidemiological studies reported that type 1 diabetes increases the risk of cardiovascular disease, kidney disease and cognitive decline in children and adolescents. Furthermore, an increasing number of studies indicate a link between type 1 diabetes and oral complications, including periodontal diseases and dental caries.

The studies currently available in the literature, which establish the exact prevalence of dental caries among children and adolescents with type 1 diabetes are unfortunately controversial and there is no quantitative meta-analysis in this regard.  

Materials and methods
In a systematic review, published on BMC Oral Health, September 2019, the authors performed a worldwide bibliographic research, based on a predetermined search strategy, with PubMed, EMBASE and China National Knowledge, of all the studies concerning the prevalence of dental caries in children and adolescents with type 1 diabetes published between July 1971 and December 2018.
The pooled prevalence with 95% confidence intervals (95%CIs) and subgroup analyses were calculated using a random effects model.    

Results 
Of the 358 articles initially identified, a total of 10 articles involving 538 patients were included in the final review. The overall prevalence of dental caries among children and adolescents with type 1 diabetes was 67%.
Prevalence was higher in South America (84%) and lower in diabetic patients with good metabolic control (47%).  

Conclusions  
From the data of this review, which must be confirmed in other similar reviews, it can be concluded that the prevalence of dental caries is high among children and adolescents with type 1 diabetes.  Given the high prevalence of dental caries among young people with type 1 diabetes, screening and preventive treatment should be routinely included as approaches in dental clinics for diabetic children and adolescents, especially those with poor metabolic control.          


For additional informations: Prevalence of dental caries in children and adolescents with type 1 diabetes: a systematic review and meta-analysis.


Italian version: http://www.odontoiatria33.it/conservativa/18604/bambini-e-adolescenti-con-diabete-tipo-1-e-prevalenza-della-carie-dentale.html

Related articles

One of the most common materials for the restoration of primary teeth are glass ionomer cements (GIC), because of their time-saving feature. Nonetheless their...


Dental caries of primary dentition continues to be one of the major health problem in the world. And even if prevention and acknowledgment of the dental...


Dental pulp in deciduous teeth can be involved earlier than in permanent teeth in the progression of carious lesions. In addiction it is also known that...


Dental caries are frequent and represent real oral health problems even in preschoolers and school children. It is a disease of the hard tissues of the tooth,...


Many dental procedures can be performed with local anesthesia. Nonetheless in certain clinical situation and especially with pediatric patients it can be...


Read more

A female 32-year-old patient came to my attention for a visit at the Master of Restorative and Aesthetic Dentistry in University of Bologna, because she...


Author: Luigi Campopiano

Often in times of crisis, either real or imagined we are encouraged to act. If your house is on fire or if you witness a car accident you must do something and...


Daily removal of dental plaque is considered important for oral health maintenance and prevention of periodontal diseases and dental caries.People routinely use toothbrushes at home to remove...


Preservation of primary teeth is essential for oral health and for the maintenance of functions of chewing and speech. Nonetheless dental caries among...


Authors: M. Cicciù, G. Risitano, G. Cervino

The dental removable prosthesis is today a good therapeutic option for edentulous patients offering function and aesthetics with low biological low cost....


 
 
 
 

Newsletter

 
 
 
 

Most popular

 
 

Events